SOP_NUMBER: 220.07-att-1
TITLE: Parole Review Summary Form (IIC02-0001)
REFERENCE_CODE: IIC02-0001
DIVISION: Facilities
TOPIC_AREA: 220 Policy-Facilities Diagnostics/Classification
EFFECTIVE_DATE: 2015-07-16
WORD_COUNT: 260
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105822
URL: https://gps.press/sop-data/220.07-att-1/

SUMMARY:
This form is used to document parole review information for inmates being considered for parole, max out, or serving life sentences. Facility staff complete the form to summarize disciplinary history, proposed release plans, case management status, institutional behavior, and recommendations regarding early release or parole month extensions. The warden and central office staff use this form to make final recommendations to the Parole Board.

KEY_TOPICS: parole review, parole consideration, max out, life sentence, disciplinary reports, institutional behavior, parole board recommendation, release plan, case management, mental health program, TABE scores, tentative parole month (TPM), parole consideration date (PCD)

ATTACHMENTS:
  1. Parole Review Summary Form (IIC02-0001)
     URL: https://gps.press/sop-data/220.07-att-1/

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FULL TEXT:
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Attachment 1
IIC02-0001

(220.07)
(07/16/15)
PAROLE REVIEW SUMMARY

Facility/Center:_______________________________________________Date Submitted: ___/___/___
I.  Inmate: Name:_______________________________________________Number:____|____|____|_____
II.  Type case: Parole _____Max Out _____Life Sent. _____ Type Report: Initial: ______  Update:______
Review date:TPM_____PCD_____Mo_____Yr______  Rpt.period:From_____/_____To_____/_____
(TPM Tentative Parole Month PCD Parole Consideration Date)
III. Disciplinary Reports and Dispositions: This report period only:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
IV.  Proposed Plan for Residence and Employment Upon Release:
________________________________________________________________________________________
________________________________________________________________________________________
V.  Case Management Summary:
a. Current status Mental Health/Mental Retardation Program: Active( ) Non active( )
b. Comment upon institutional adjustment, staff/peer relationships, and overall performance. It is imperative
to include a statement regarding the response to treatment of any inmate currently active in the Mental
Health/Mental Retardation Program.
c. Highest TABE reading level attained |___|___|___| Date of Test:Mo____Yr____ Academic program
participation: L/R ( )  ABE ( )  GED ( )  SpecEd ( )
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
VI.  Summary Rating: Overall Institutional Behavior Above Average ( ) Average ( ) Below average ( )
VII. Recommendations: (Please place an X in each appropriate space).
a. Release in advance of TPM_____________or Max out Date___________ No______ Yes______
b. All TPM Extension _________ days accumulated to date.
c. Reduction of Disciplinary TPM Extension  No ( ) Yes, by _____ days

__________________________________________  ___________________________________________
Signature Date
VIII. Warden's/Superintendent's Statement:
________________________________________________________________________________________
________________________________________________________________________________________
Summary Rating: Overall Institutional Behavior: Above average ( ) Average ( ) Below average ( )

__________________________________________  ___________________________________________
Signature               Date
IX. Final GDC Recommendation to Parole Board (Central Office Use Only) Please consider this inmate:
Above average ( ) Average ( ) Below average ( )
TPM Extention of _____days.

__________________________________________  ___________________________________________
Signature Date

Distribution: Copies l and 2 Offender Administration
Copy 3 - Inmate Facility Administrative File (DOC Form #50-953(Rev 2/87)

**RETENTION SCHEDULE:** Upon completion, a copy of this form is to be retained in the administration case file.